ROBERT B BORUCKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

ROBERT B

Last Name

BORUCKI

Suffix

Business Name

ROBERT B BORUCKI MD

Original Issue Date

03/31/1989

Effective Date

03/31/1989

Expiration Date

07/31/1990

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006